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THE C ,TY OF EVERE-Imr ✓ <br />Date <br />Sketch of Proposed Sewer Co nec�tion for/Building Situated on Lot_ <br />Division or Addition_ to; A ' <br />it <br />' —Owned by-,��t.---------- <br />Application and Connection by i/1tit ., MU A" <br />— ---- - - -... — -- licensee <br />Aemarks:__Lfl! fi_ljc2f,.. -1 <br />Depth of Se• er of Comedian <br />J I <br />S',Ue ep PL <br />to 4%.t+U_A.Q_, <br />Connection made the- ."�= <br />__day oI_—___ r"-'1----19.�.�t. Examined and Approved by _/�.v <br />/.�, /J <br />, "7ta— City Engineer <br />--_Sapl. Of 819eete and Sewers By - .>lL,hd �C crv'tY_� <br />19923 <br />